Provider Demographics
NPI:1265940886
Name:GREATER BOSTON PERFORMANCE CARE, INC.
Entity type:Organization
Organization Name:GREATER BOSTON PERFORMANCE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-928-6182
Mailing Address - Street 1:464 HILLSIDE AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1228
Mailing Address - Country:US
Mailing Address - Phone:978-429-8952
Mailing Address - Fax:
Practice Address - Street 1:464 HILLSIDE AVE STE 211
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1228
Practice Address - Country:US
Practice Address - Phone:978-429-8952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3596111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty